Advanced Lifestyle Solutions PLLC
Organization Active NPI General Practice Physician · Oklahoma City, OK
NPI 1164026845 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1164026845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- ADVANCED LIFESTYLE SOLUTIONS PLLC
- Practice address
- 5252 N Meridian Ave
Oklahoma City, OK 73112-2178 - Phone
- (405) 754-5400
- Fax
- (405) 754-5404
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Rita Pannell
- Title
- Operations Manager
- Phone
- (214) 310-6763
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
5252 N Meridian Ave
Oklahoma City, OK 73112-2178
Mailing address
1162 Honey CRK
New Braunfels, TX 78132-3453
Phone (214) 310-6763
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All providers in Oklahoma City, OK · General Practice Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.